MHR, D.MIN, CSAYC Kim Johnson, NPI 1508277401
Psychiatric Residential Treatment Facility in Indianapolis, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1508277401
NPI Entity Type Individual
Provider Name MHR, D.MIN, CSAYC Kim Johnson
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1404 S State Ave, Indianapolis, IN, US
Provider Mailing Address 1404 S State Ave, Indianapolis, IN, US, 462032009
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

323P00000X

Taxonomy Name Psychiatric Residential Treatment Facility
Classification

Psychiatric Residential Treatment Facility

Group

Residential Treatment Facilities

Description A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Business Address

MHR, D.MIN, CSAYC Kim Johnson
1404 S State Ave

Indianapolis, IN, US

Phone: 317-783-4003
Fax: 317-780-4810

Mailing Address

MHR, D.MIN, CSAYC Kim Johnson
1404 S State Ave
Indianapolis, IN, US
ZIP 462032009
Phone: 317-783-4003
Fax: 317-780-4810

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

101YM0800X

Behavioral Health & Social Service Providers

Counselor

No

Other Providers in IN, US

NPI Name Taxonomy Address

1528516226

Nicole M Blauvelt

Individual

Nurse Practitioner

11109 Parkview Plaza Dr

Fort Wayne, IN

1942597141

PA-C Kristin E Pletcher

Individual

Physician Assistant

3909 New Vision Dr

Fort Wayne, IN

1184686743

DR. MD David J Wittbrodt

Individual

Orthopaedic Surgery Physician

1169 N Main St Ste 7

Bluffton, IN

1366604480

D.O. Ellen Szwed

Individual

Hematology & Oncology Physician

11050 Parkview Circle Dr

Fort Wayne, IN

1952025025

MS. Andrea Jo Lynne Adams

Individual

Mental Health Counselor

4444 Jamestown Ct Apt F

Indianapolis, IN

1285098400

Melissa Lucio

Individual

Family Nurse Practitioner

3512 Stellhorn Rd

Fort Wayne, IN

1588016174

FNP-C Colleen Conwell

Individual

Family Nurse Practitioner

3909 New Vision Dr

Fort Wayne, IN

1326030297

MD David E Schleinkofer

Individual

Cardiovascular Disease Physician

11108 Parkview Circle Dr

Fort Wayne, IN

1033561139

Nicole Heller

Individual

Nurse Practitioner

11104 Parkview Circle Dr Ste 20

Fort Wayne, IN

1114189305

DR. M.D., Ahmed Zakria Youssef Elmaadawi

Individual

Psychiatry Physician

707 N Michigan St Ste 400

South Bend, IN

1013307131

Kara Yackee

Individual

Nurse Practitioner

3909 New Vision Dr

Fort Wayne, IN

1275608929

DR. MD Steven W Cohen

Individual

Gastroenterology Physician

11104 Parkview Circle Dr Ste 310

Fort Wayne, IN

1689833279

MD Julie A Tillman

Individual

Obstetrics & Gynecology Physician

11123 Parkview Plaza Dr

Suite 101

Fort Wayne, IN

1790857423

DR. M.D. Rebecca E Minser

Individual

Internal Medicine Physician

1234 E Dupont Rd Ste 3

Fort Wayne, IN

1427400886

Jennifer Vanzant

Individual

Nurse Practitioner

2200 Randallia Dr

Fort Wayne, IN

1083820286

DR. M.D. Dona M Uncheselu

Individual

Hospice and Palliative Medicine (Family Medicine) Physician

11109 Parkview Plaza Dr

Fort Wayne, IN

1033367123

MD Amy K Sadler

Individual

Family Medicine Physician

1270 E S.r. 205, Suite 240

Columbia City, IN

1629070032

MD Kevin K Hart

Individual

Cardiovascular Disease Physician

11108 Parkview Circle Dr

Fort Wayne, IN

1245687284

MD Megan C. Lemon

Individual

Family Medicine Physician

11055 Twin Creeks Cv

Fort Wayne, IN

1922582188

Kelcie Marie Small

Individual

Developmental Therapist

6437 Rucker Rd Ste D

Indianapolis, IN

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